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113-muscles
SCC- Wallace
205
Dentistry
Professional
03/04/2016

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Term
How many pairs of muscle are involved in mastication?
Definition
4
Term
What are the 4 muscles of mastication?
Definition
masseter
temporalis
medial pterygoid
lateral pterygoid
Term
What are the 5 movements of the mandible?
Definition
depression
elevation
protrusion
retraction
lateral deviation
Term
what group of muscles are involved in movement of the jaw.
Definition
muscles of mastication
Term
The muscles of mastication are all innervated by what nerve?
Definition
mandibular devision of the 5th cranial nerve (trigeminal)
Term
If a person who has suffered a stroke and has facial paralysis tries to stick their tongue out, which way will the tongue move?
Definition
toward the damaged side due to greater innervation on the undamaged side
Term
What is the term for the area of the mandible and the muscles of mastication?
Definition
masticator space
Term
what 6 areas/structures are included in the masticator space
Definition
temporal space
infratemporal space
submasseteric space
masseter muscle
ramus
body of the mandible
Term
How many heads does the masseter have? What are they called?
Definition
2
superficial and deep heads
Term
What is the O-I of the superficial masseter?
Definition
O- anterior 2/3 of the lower border of zygomatic arch
I- lateral surface of mandible
Term
What is the O-I of the deep head of the masseter?
Definition
O- posterior 1/3 of medical surface of zygomatic arch
I- ramus superior to angle of mandible
Term
What muscle is located anterior to the parotid salivary gland?
Definition
masseter
Term
What action is observed when both muscles of the masseter contract?
Definition
elevation of the mandible (closing the jaw)
Term
what is the name of the space between the masseter and the external surface of the vertical ramus
Definition
submasseteric space
Term
What can cause an enlarged masseter muscle?
Definition
habitual clenching or grinding of teeth
constant chewing gum
Term
What is the clinical term for enlargement of the masseter?
Definition
masseteric hypertrophy
Term
Is Masseteric hypertrophy usually bilateral or unilateral?
Definition
usually bilateral (can be unilateral)
Term
Do you experience any symptoms from masseteric hypertrophy?
Definition
no- asymptomatic and soft
Term
What is Masseteric hypertrophy commonly confused with? (3)
Definition
parotid gland disease
dental infection
maxillofacial neoplasm
Term
The body of the temporalis muscle is contained in what ofssa?
Definition
temporal fossa
Term
O/I of the temporalis
Definition
O- inferior temporal line
I- coronoid process of the mandible
Term
Action of the temporalis
Definition
elevation and retraction of mandible
Term
What are the 2 cervical muscles?
Definition
sternocleidomastoid
trapezius
Term
What are the 4 suprahyoid muscles?
Definition
digastric
mylohyoid
stylohyoid
geniohyoid
Term
What are the 4 infrahyoid muscles?
Definition
sternothyroid
sternohyoid
omohyoid
thyrohyoid
Term
What are the 3 extrinsic tongue muscles
Definition
genioglossus
styloglossus
hyoglossus
Term
what are the muscles of the pharynx
Definition
stylopharyngeus
pharyngeal constrictor
Term
what are the 5 muscles of the soft palate?
Definition
palatoglossus
palatopharyngeus
levator veli palatini
tensor veli palatini
muscle of the uvula
Term
O/I of the sternocleidomastoid
Definition
O- clavicle and sternum
I- mastoid process of temporal
Term
Action of sternocleidomastoid
Definition
bend, elevate and turn neck
"deep breath, turn, and release"
Term
O/I of trapezius
Definition
O- occipital bone and cervical and thoracic region
I- clavicle and scapula
Term
action of trapezius
Definition
lift clavicle and scapula
shoulder shrug
Term
O/I of epicranial (both bellys)
Definition
frontal
O- epicranial aponeurosis
I- eyebrow and root of nose

Occipital belly
O- occipital and temporal bone
I- epicranial aponeurosis
Term
What are the two bellies of the epicranial muscle?
Definition
frontal and occipital
Term
O/I of Orbicularis oculi
Definition
O- orbital rim, frontal bone, maxilla
I- lateral canthus area
Term
action of epicranial
Definition
surprise look
Term
action of orbicularis oculi
Definition
closing eyelid and winking
Term
O/I of orbicularis oris
Definition
O- encircles mouth
I- labial commissure
Term
action of orbicularis oris (4)
Definition
closing lips
pouting/kissing
pursing lips (thinning lips)
grimacing lips (rolling inward between teeth)
Term
O/I of buccunator
Definition
O- maxilla, mandible and pterygomandibular raphe
I- labial commissure
Term
action of buccinator
Definition
compresses cheeks during mastication
"blue steel look"
Term
O/I of risorius
Definition
O- fascia superficial to masseter
I- labial commissure
Term
action of risorius
Definition
stretching lips
Term
O/I of levator labii superioris
Definition
O- maxilla
I- upper lip
Term
action of levator labii superioris
Definition
raising upper lip
Term
O/I of levator labii superioris alaeque nasi
Definition
O- maxilla
I- ala of nose and upper lip
Term
action of levator labii superioris alaeque nasi
Definition
raising upper lip and dilating naris in a sneer
Term
O/I of zygomaticus major
Definition
O- zygomatic bone
I- labial commissure
Term
action of zygomaticus major
Definition
smiling
Term
O/I of zygomaticus minor
Definition
O- zygomatic bone
I- upper lip
Term
action of zygomaticus minor
Definition
raising upper lip (assist with smiling)
Term
O/I of levator anguli oris
Definition
O- maxilla (canine fossa)
I- labial commissure
Term
action of levator angui oris
Definition
smiling
Term
O/I of depressor anguli oris
Definition
O- mandible
I- labial commisure
Term
action of depressor anguli oris
Definition
frowning
Term
O/I of depressor labii inferioris
Definition
O- mandible
I- lower lip
Term
action of depressor labii inferioris
Definition
lowering lower lip
Term
O/I of mentalis
Definition
O- mandible
I- chin
Term
action of mentalis
Definition
raising chin and protruding lower lip
Term
O/I of platysma
Definition
O- clavicle and shoulder
I- mandible and muscles of mouth
Term
action of platysma
Definition
hulk neck. raising neck skin and grimacing
Term
O/I of corrugator spercilii
Definition
O- supraorbital region of frontal bone
I- eyebrows
Term
action of corrugator supercilii
Definition
frowning
Term
What are the two regions of the masseter
Definition
superficial head
deep head
Term
O/I of masseter (both heads)
Definition
superficial
O-anterior 2/3 of zygomatic arch
I- angle of mandible

Deep head
O- posterior 1/3 of zygomatic arch
I- ramus of mandible
Term
action of the masseter
Definition
elevation of mandible (closing jaw)
Term
what are the two parts of the medial pterygoid?
Definition
deep and superficial head
Term
O/I of the medial pterygoid (both heads)
Definition
deep head
O- lateral pterygoid plate of sphenoid
I- medial surface of ramus and angle of mandible

superficial head
O- pyramidal process of palatine and max tuberosity
I- medial surface of ramus and angle of mandible
Term
action of medial pterygoid
Definition
elevation of mandible (closing)
Term
What is the space between the temporalis muscle and the temporal fascia?
Definition
temporal space
Term
What is the space is located between the medial surface of the mandible and the lateral surface of the lateral pterygoid?
Definition
infratemporal space
Term
what are the two regions of the lateral pterygoid
Definition
superior and inferior head
Term
O/I for the lateral pterygoid (both portions)
Definition
superior head
O- greater wing of sphenoid
I- pterygoid fovea of mandible

Inferior head
lateral pterygoid plate of sphenoid
TMJ disc and capsule
Term
what action do you see if there is muscular contraction of one lateral pterygoid
Definition
later deviation of the mandible
Term
what action do you see if both muscles of the lateral pterygoid contract?
Definition
protrusion of the mandible
Term
What action do you see if the inferior heads of the later pterygoid contracts?
Definition
depression of the mandible
Term
what are the two portions of the digastric?
Definition
anterior and posterior belly
Term
O/I of the digastric (both portions)
Definition
anterior belly
O- intermediate tendon
I- medial surface of mandible

posterior belly
O- mastoid notch of temporal bone
I- intermediate tendon
Term
O/I of the mylohyoid
Definition
O- mylohyoid line of mandible
I- body of hyoid
Term
Action of the mlyohyoid (3)
Definition
elevates hyoid
depressing mandible
elevate tongue
Term
O/I of stylohyoid
Definition
O- stloid process of temporal
I- body of hyoid
Term
action of stylohyoid
Definition
elevates hyoid
Term
O/I of geniohyoid
Definition
O- genial tubercle of mandible
I- body of hyoid
Term
action of geniohyoid
Definition
elevates hyoid
Term
O/I of sternothyroid
Definition
O- posterior surface of sternum
I- Thyroid cartilage
Term
action of sternothyroid
Definition
depresses thyroid cartilage and larynx
Term
O/I of sternohyoid
Definition
O- posterior and superior surfaces of sternum
I- body of hyoid
Term
action of sternohyoid
Definition
depresses hyoid
Term
what are the two portions of the omohyoid
Definition
inferior and superior belly
Term
O/I of the omohyoid
Definition
Inferior belly
O- scapula
I- superior belly

Superior belly
O- inferior belly
I- body of the hyoid
Term
O/I of the thyrohyoid
Definition
O- thyroid cartilage
I- body and greater cornu of hyoid
Term
action of the thyrohyoid
Definition
depresses hyoid and raises thyroid cartilage and larynx
Term
O/I of genioglossus
Definition
O- genial tubercle of mandible
I- hyoid bone and tongue
Term
Action of genioglossus
Definition
protrudes tongue and depresses parts of the tongue
Term
O/I of styloglossus
Definition
O- styloid process of temporal
I- tongue
Term
action of the styloglossus
Definition
retracts tongue
Term
O/I of hyoglossus
Definition
O- greater cornu and body of hyoid
I- tongue
Term
action of hyoglossus
Definition
depresses tongue
Term
O/I of stylopharyngeus
Definition
O- styloid process of temporal
I- lateral and posterior pharyngeal walls
Term
action of stylopharyngeus
Definition
elevates and widens pharynx
Term
How many parts are there to the pharyngeal constrictor?
Definition
3
superior
middle
inferior
Term
O/I of the pharyngeal constructors (3)
Definition
origin
superior- pterygoid hamulus and pterygomandibular raphe
middle- hyoid and stylohyoid ligament
inferior- thyroid and cricoid cartilage

insertion- median pharyngeal raphe
Term
action of pharyngeal constrictors
Definition
raises pharynx and larynx - drives food inferiorly into the esophagus
Term
O/I of palatoglossus
Definition
O- medial palatine raphe
I- lateral surface of tongue
Term
action of the palatoglossus
Definition
elevates and arches tongue and depresses soft palate towards tongue to form a sphincter which separates the oral cavity from the pharynx
Term
O/I of the palatopharyngeus
Definition
O- soft palate
I- laryngopharynx and thyroid cartilage
Term
Action of the palatopharyngeus
Definition
moves palate posteroinferiorly
posterior pharyngeal wall anterosuperiorly to close off nasopharynx
Term
What muscle forms the anterior faucilar pillar
Definition
palatoglossus
Term
what muscle forms the posterior faucilar pillar
Definition
palatopharyngeus
Term
O/I of levator veli palatini
Definition
O- temporal bone
I- median palatine raphe
Term
action of levator veli palatini
Definition
raises soft palate to contact posterior pharyngeal wall to help close nasopharynx
Term
O/I of tensor veli palatini
Definition
O- auditory tube and sphenoid bone
I- tendon near pterygoid hamulus and median palatine raphe
Term
action of tensor veli palatini
Definition
tenses and lowers soft palate
Term
O/I of muscle of uvula
Definition
tissue hangs inferiorly from the soft palate in the uvula
Term
action of the uvula muscle?
Definition
helps close off nasppharynx
Term
Are the lateral pterygoids deep or superficial to the temporalis
Definition
deep
Term
what is the injection site for the alveolar local anesthetic block?
Definition
pterygomandibular space
Term
what is the space between the medial pterygoid, lateral pterygoid, and ramus of the mandible
Definition
pterygomandibular space
Term
Does a muscle move toward the origin or insertion when it contracts?
Definition
toward origin
Term
is arterial blood supply for muscles regional or localized?
Definition
regional
Term
what are the 6 main muscle groups of the head and neck?
Definition
cervical
facial expression
mastication
hyoid
tongue
pharynx
Term
What nerve innervates the trapezius?
Definition
11th cranial-accessory nerve (3rd/4th cranial nerves)
Term
what nerve innervates the sternocleidomastoid
Definition
11th cranial-accessory
Term
muscles of facial expression are innervated by which nerve?
Definition
7th cranial nerve / facial nerve
Term
what nerve innervates the epicranial muscle?
Definition
7th cranial-facial nerve
Term
What muscle closes the eyelid? what is the benefit of this?
Definition
orbicularis oculi
protects and moistens the eye
Term
how many insertions does the levator labii superioris alaeque nasi have?
Definition
2
Term
which muscle gives a sneering expression?
Definition
levator labii superioris alaeque nasi
Term
what two muscles are activated for a genuine smile?
Definition
zygomaticus major
orbicularis oculi
Term
what muscle is most important for creating the lip movements involved in speech?
Definition
orbicularis oris
Term
which muscle produces a grimace by stretching the lips laterally
Definition
risorius
Term
which muscle depresses the lower lip to exposing the mandibular incisors
Definition
depressor labii inferioris
Term
which muscle of facial expression causes frowning?
Definition
depressor anguli oris
Term
which muscle of facial expression is superior and medial to the mental nerve?
Definition
mentalis
Term
which muscle narrows the oral vestibule?
Definition
mentalis
Term
which muscle can dislodge a denture in patients with loss of alveolar ridge height?
Definition
mentalis
Term
what muscle is associated with concentration/thinking and doubt?
Definition
mentalis
Term
which muscle covers the anterior cervical triangle?
Definition
platysma
Term
which muscle can pull the corners of the mouth down to grimace?
Definition
platysma
Term
What muscle group is involved in swallowing and inner ear function?
Definition
pharynx
Term
elevation of the hyoid bone and larynx allow for what process?
Definition
swallowing
Term
what cervical triangle is formed by the digastric?
Definition
submandibular triangle
Term
What innervates the digastric (2)?
Definition
5th cranial (trigeminal)- mandibular mylohyoid nerve
facial nerve (7)
Term
which muscle runs transverse between the rami of the mandible and forms the floor of the mouth?
Definition
mylohyoid
Term
which muscle helps elevate the hyoid bone and tongue?
Definition
mylohyoid
Term
What nerve innervates the mylohyoid
Definition
5th cranial (trigeminal)- mandibular mylohyoid
Term
What nerve innervates the stylohoid?
Definition
7th cranial (facial) --> stylohyoid nerve
Term
what nerve innervates the geniohyoid?
Definition
12th cranial (hypoglossal)- 1st cervical nerve
Term
what nerve innervates all the infrahyoid muscles?
Definition
2nd and 3rd cervical nerves
Term
The symmetric muscles of the tongue are divided by what structure?
Definition
median septum
Term
All muscles of the tongue are innervated by what nerve?
Definition
12th cranial (hypoglossal)
Term
what are the 4 pairs of intrinsic tongue muscles?
Definition
superior longitudinal
transverse
vertical
inferior longitudinal
Term
which intrinsic tongue muscles shorten, thicken, and curl the tongue?
Definition
superior and inferior longitudinal
Term
which intrinsic tongue muscles make the tongue long and narrow
Definition
transverse and vertical
Term
what muscle group is responsible for initiating the swallowing process?
Definition
muscles of the pharnyx
Term
what is the innervation for the stylopharyngeus muscle?
Definition
9th cranial (glossopharyngeal)
Term
what is the innervation for the pharyngeal constrictor muscles?
Definition
pharyngeal plexus
Term
all muscles of the soft palate excluding tensor veli palatini are innervated by what nerve?
Definition
pharyngeal plexus
Term
what is the innervation for the tensor veli palatini
Definition
mandibular division of the 5th cranial (trigeminal)
Term
what is the muscle that stiffens the soft palate?
Definition
tensor veli palatini
Term
which muscle opens the auditory tube to allow airflow between the pharnyx and middle ear
Definition
tensor veli palatini
Term
how many muscles does it take to smile and frown?
Definition
smile- 17
frown- 43
Term
what is the loss voluntary muscle action?
Definition
paralysis
Term
what are causes of facial paralysis?
Definition
stroke
Bell palsy
parotid salivary gland cancer
surgery
incorrectly given inferior alveolar block
Term
what muscle is also called the "trumpet muscle" and helps infants suction during nursing?
Definition
buccinator
Term
why do most patients seek treatment for masseteric hypertrophy?
Definition
facial appearance due to enlargement
Term
which tongue muscle prevents the tongue from sinking back and obstructing respiration?
Definition
genioglossus
Term
Both bellies of the epicranial muscle insert into which structure?
Definition
epicranial aponeurosis
Term
which muscle os divided by a median septum
Definition
transverse
Term
which muscle group is innervated by the cervical nerves?
Definition
infrahyoid muscles
Term
the posterior belly of the digastric is also a member of which muscle group?
Definition
posterior suprahyoid
Term
what is a joint?
Definition
union between 2 or more bones
Term
what is the innervation for the TMJ?
Definition
mandibular nerve of 5th cranial (trigeminal)
Term
What is the blood supply for the TMJ?
Definition
external carotid artery
Term
what tissue covers the articulating surfaces of the TMJ?
Definition
fibrocartilage
Term
what is the concave region on the temporal bone where the mandible occludes for the TMJ?
Definition
articular fossa
Term
what are the regions anterior and posterior to the articular fossa?
Definition
anterior- articular eminence
posterior- postglenoid process
Term
what structure encloses the TMJ?
Definition
joint capsule
Term
what are the two synovial cavities of the TMJ?
Definition
upper synovial cavity
lower synovial cavity
Term
Does the disc of the TMJ attach in the anterior or posterior?
Definition
posterior
Term
where does the posterior portion of the TMJ disc attach?
Definition
upper division- postglenoid process
lower division- neck of condyle
Term
what is a band of fibrous tissue that connects bone?
Definition
ligament
Term
what are the 3 paired ligaments of the TMJ?
Definition
temporomandibular
stylomandibular
sphenomandibular
Term
which TMJ ligament reinforces the lateral surface of the capsule?
Definition
temporomandibular joint
Term
Is the temporomandibular joint on the medial or lateral surface of the mandible?
Definition
lateral
Term
which TMJ ligament prevents excessive retraction of the mandible?
Definition
temporomandibular
Term
which structure separates the parotid and submandibular gland?
Definition
stylomandibular ligament
Term
what are the connections of the stylomandibular ligament?
Definition
styloid process
angle of mandible (medial)
Term
What are the connections of the sphenomandibular ligament?
Definition
spine of sphenoid
lingula (medial mandible)
Term
which ligament is taut when the mandible is protruded and provides a landmark for the administration of an inferior alveolar block
Definition
sphenomandibular
Term
what ligament may act as a barrier to anesthetic if the needle does not contact the deeper mandibular foramen?
Definition
sphenomandibular
Term
what muscle is involved in retraction of the mandible?
Definition
posterior parts of the temporalis
Term
what are the two movements of the TMJ?
Definition
gliding and rotational
Term
which muscles cause protrusion of the mandible?
Definition
lateral pterygoid
Term
what structures are involved in the gliding movement of the TMJ?
Definition
disc and articular eminence of the temporal bone (upper synovial cavity)
Term
what structures are involved in the rotational movement of the TMJ?
Definition
disc and mandibular condyle in the lower synovial cavity
Term
what is the freeway space
Definition
natural resting position of the TMJ (2-4mm space between teeth)
Term
what is the term for dislocation of the TMJ?
Definition
subluxation
Term
what is the inability to normally open the mouth?
Definition
trismus
Term
dull ache and continuous pain associated with muscle function
Definition
myalgia
Term
Muscle pain associated with active trigger point that radiates to remote sites such as other muscles, TMJ, or teeth and bone
Definition
myofascial pain
Term
Inflammatory condition due to infection or trauma
›Can be due to non-infectious general systemic condition such as Polymyositis. ›Tender to light touch, palpation, function, with associated inflammation related swelling
›Entire muscle involved, elevated serum enzymes (Creatine Phosphokinase, Aldolase, etc)
Definition
myositis
Term
what is a Protective co-contraction of the TMJ?
Definition
muscle spasm / trismus
Term
Hypomobility due to trauma, infection, surgery, or radiation
Definition
contracture
Term
intermittent pain, tension, or weakness in muscle that resolves when stop function (Temporal Arteritis)
Definition
claudication
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